FINAL EVALUATION OF FIELD STUDENT - UVM



ENDING EVALUATION OF B.S.W. FIELD STUDENTUniversity of VermontUndergraduate Social Work ProgramCONFIDENTIALB.S.W. Student Name: FORMTEXT ?????Field Site Agency or Organization: FORMTEXT ?????Field Instructor: FORMTEXT ?????Faculty Field Liaison: FORMTEXT ?????I. INSTRUCTIONSPlease complete this evaluation form together with your student. It may be helpful to review the December evaluation together first and then review the prompts on this form before either of you prepares for the actual evaluation meeting. Unlike the December evaluation, at this time of year a quantitative tally of student progress toward the courses learning objectives (see syllabus) is required. Please do not focus solely on these measurements of progress however. The narrative and dialogic nature of the December evaluation might serve as guidance for a broader/deeper discussion – especially the two prompts below. Prompts from December evaluationPlease reflect on and tell your stories of your relationship with one another as student and field instructor. Also explore the nature of the student’s relationships with other professional colleagues and what might kinds of related goals the student might like to have as a true social work collaborator. FORMTEXT ?????Please share some specific examples of the student’s relationship to the work of the internship. The student should comment from a self-reflective stance of both skill progress and knowledge, as well as, the depth of emotional understanding. This is a good time to consider how the complexity of the work provided opportunities for growth as a professional social worker. Think about growth, too. Not just in terms of skill development but also in terms of taking initiative, developing a professional social work identity, and developing a personal self-reflective practice. It’s also a place to notice assumptions, language, and times where questions complicated the taken-for-granted approaches to the work. FORMTEXT ?????II. LEARNING OBJECTIVESPlease use the following scale to rate each Learning Objective. We understand that these are life-long practice goals, but please rate the student given where she/he is in her/his academic program.1 = Has exceeded expectations for undergraduate student performance2 = Has satisfactorily met objective3 = Has made steady progress toward meeting objective4 = Has made minimal (not enough) progress toward meeting objective5 = Has made no progress toward meeting objectiveN/A = Not able to judge this objective due to lack of opportunityObjective #1: Demonstrate Ethical and Professional BehaviorRating Scale12345n/a1.1Make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 1.2Use reflection and self-regulation to manage personal values and maintain professionalism in practice situations FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 1.3Demonstrate professional demeanor in behavior; appearance; and oral, written, and electronic communication FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 1.4Use technology ethically and appropriately to facilitate practice outcomes FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 1.5Use supervision and consultation to guide professional judgment and behavior FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Objective #2: Engage Diversity and Difference in PracticeRating Scale12345n/a2.1Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the ?micro, mezzo, and macro levels FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 2.2Present themselves as learners and engage clients and constituencies as experts of their own experiences FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 2.3Apply self-awareness and self-regulation to manage the influence of personal biases and values in working with diverse clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Objective #3: Advance Human Rights and Social, Economic, and Environmental JusticeRating Scale12345n/a3.1Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 3.2Engage in practices that advance social, economic, and environmental justice FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Objective #4: Engage in Practice-Informed Research and Research-Informed PracticeRating Scale12345n/a4.1Use practice experience and theory to inform scientific inquiry and research FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 4.2Apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 4.3Use and translate research evidence to inform and improve practice, policy, and service delivery FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Objective #5: Engage in Policy PracticeRating Scale12345n/a5.1Identify social policy at the local, state, and federal level that impacts well-being, service delivery, and access to social services FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 5.2Assess how social welfare and economic policies impact the delivery of and access to social services FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 5.3Apply critical thinking to analyze, formulate, and advocate for policies that advance human rights and social, economic, and environmental justice FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Objective #6: Engage with Individuals, Families, Groups, Organizations, and CommunitiesRating Scale12345n/a6.1Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical ?frameworks to engage with clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 6.2Use empathy, reflection, and interpersonal skills to effectively engage diverse clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Objective #7: Assess Individuals, Families, Groups, Organizations, and CommunitiesRating Scale12345n/a7.1Collect and organize data, and apply critical thinking to interpret information from clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 7.2Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 7.3Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 7.4Select appropriate intervention strategies based on the assessment, research knowledge, and values and preferences of clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Objective #8: Intervene with Individuals, Families, Groups, Organizations, and CommunitiesRating Scale12345n/a8.1Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 8.2Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 8.3Use inter-professional collaboration as appropriate to achieve beneficial practice outcomes FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 8.4Negotiate, mediate, and advocate with and on behalf of diverse clients and constituencies FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 8.5Facilitate effective transitions and endings that advance mutually agreed-on goals FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Objective #9: Evaluate Practice with Individuals, Families, Groups, Organizations, and CommunitiesRating Scale12345n/a9.1Select and use appropriate methods for evaluation of outcomes FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 9.2Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical ?frameworks in the evaluation of outcomes FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 9.3Critically analyze, monitor, and evaluate intervention and program processes and outcomes FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 9.4Apply evaluation findings to improve practice effectiveness at the micro, mezzo, and macro levels FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX III. Please describe any unusual conditions at the agency/organization that may have impacted the student’s placement. FORMTEXT ?????IV. SUMMARYAfter submitting the outcome numerics above, please fill in the gaps in the student’s story of this placement. In other words consider the same kinds of questions in the mid year evaluation and together tell us more personally about the progress the student has made. For example, you may want to talk about the student’s relationships with colleagues, clients, and his or her self-reflective practice. You may want to talk about the development of a professional social work identity or particular gifts the student is bringing to this work. FORMTEXT ?????V. STUDENT HOURSSignatures on this form confirm that the student completed FORMTEXT ????? hours in the Field Agency for the period beginning FORMTEXT ????? and ending FORMTEXT ????? Mo. Day Year Mo. Day YearVI. RECOMMENDED GRADEBased on the student's completion of required field hours, accomplishment of the Learning Objectives outlined in the Learning Agreement, and completion of process records, an evaluation of Satisfactory FORMCHECKBOX or Unsatisfactory FORMCHECKBOX is recommended by Field Instructor and Faculty Field Liaison.Field Instructor (M.S.W.) FORMTEXT ????? Date FORMTEXT ????? Additional Field Instructor FORMTEXT ????? Date FORMTEXT ????? Student FORMTEXT ????? Date FORMTEXT ?????Faculty Field Liaison FORMTEXT ????? Date FORMTEXT ????? ................
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